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ClaimScrub

Checks a claim against the rules insurers deny on, with the fix for each, before it is sent.

Installs with ClaimsLine, whose screen it works on

Get ClaimScrub Open the appAvailable nowHow pricing works →

What it is

A pre-check for every insurance claim, run before anyone presses send. ClaimScrub reads the ClaimsLine claim, its bill, the admission, the diagnoses and the drug chart and applies a short list of published rules: a discharge summary not yet signed, treatment on the bill whose diagnosis is not coded (iron sucrose without anaemia in pregnancy, insulin without diabetes), a bill over the approved pre-auth, room rent over the insurer’s cap, and medicines issued and billed with no order on the chart. Each finding shows its points, a sentence with this claim’s own numbers, and a fix: ask the doctor (a task in their list), add the code (on the visit, by a clinician), request the enhancement (a task for the insurance desk). The risk starts from this hospital’s own denial rate with that insurer once there are twenty decided claims to learn it from, and it only falls when the record changes, because that is what the insurer will see. Every check is kept, and submitting goes through ClaimsLine at the approved amount with the check in front of the submitter stored beside it.

Who uses it: Built for: Every specialty
Reads: The claim and its bill lines, the admission and its discharge summary, the diagnoses on the visit and the drug chart, your past claims with the same insurer
Writes: Every check and its findings, tasks for the doctor or the insurance desk, a diagnosis code, when a clinician adds it, the insurer’s room-rent cap you set
Never: It never sends anything to an insurer on its own, never changes a bill, and never lowers the risk because someone was asked — only a change in the record does that.
Access: Only people whose role includes it — the clinic owner decides who
Your data: Full PHI. Hosted in Boston, United States. On uninstall: Checks stop. Tasks it created, codes added and the stored checks stay where they are.

How it works

Open a claim before sendingPick the claim from the queue; the check runs on the spot and shows the chance this insurer denies it.
Work down the findingsEach finding says why, with its points, and has a fix — ask the doctor, add the code, request the enhancement.
Submit with the check on recordSubmit through ClaimsLine at the approved amount; the check you saw is stored beside the claim.

Rules it keeps

What it does not do, by design. A listing with only benefits is an advertisement.

It never sends anything to an insurer on its own, never changes a bill, and never lowers the risk because someone was asked — only a change in the record does that.

It does not guess an insurer’s rules it has not been told.

AI in ClaimScrub

AskQuestions about what is on screen — “What needs attention in ClaimScrub today?” — answered with the records it read.

DraftSummaries and notes for the team, marked as drafts until a person signs.

Every answer shows its sources. Nothing AI writes is saved until a person accepts it.

See it on screen

ClaimScrub — Claim Scrub — Check a claim for what would get it denied, and fix it, before it is sent — 01Claim Scrub — Check a claim for what would get it denied, and fix it, before it is sentCaptured from the running demo clinic

01Claim Scrub — Check a claim for what would get it denied, and fix it, before it is sentCaptured from the running demo clinic

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Connected to

Read out of the code, not the brochure: each app below is here because one service queries the other’s tables. Install either side and the hand-over is already wired.

Reads from · 6

BillDesk CaseNotes ClaimsLine Patient Registry RxCanvas WardLine

See the whole clinic →

Questions clinics ask

What does ClaimScrub do?

Checks a claim against the rules insurers deny on, with the fix for each, before it is sent. A pre-check for every insurance claim, run before anyone presses send. ClaimScrub reads the ClaimsLine claim, its bill, the admission, the diagnoses and the drug chart and applies a short list of published rules: a discharge summary not yet signed, treatment on the bill whose diagnosis is not coded (iron sucrose without anaemia in pregnancy, insulin without diabetes), a bill over the approved pre-auth, room rent over the insurer’s cap, and medicines issued and billed with no order on the chart. Each finding shows its points, a sentence with this claim’s own numbers, and a fix: ask the doctor (a task in their list), add the code (on the visit, by a clinician), request the enhancement (a task for the insurance desk). The risk starts from this hospital’s own denial rate with that insurer once there are twenty decided claims to learn it from, and it only falls when the record changes, because that is what the insurer will see. Every check is kept, and submitting goes through ClaimsLine at the approved amount with the check in front of the submitter stored beside it.

What data does ClaimScrub read and write?

ClaimScrub reads the claim and its bill lines, the admission and its discharge summary, the diagnoses on the visit and the drug chart, your past claims with the same insurer and writes every check and its findings, tasks for the doctor or the insurance desk, a diagnosis code, when a clinician adds it, the insurer’s room-rent cap you set. Its data class is Full PHI. Every app works on the same patient record — nothing is copied into a silo.

What does ClaimScrub deliberately not do?

It never sends anything to an insurer on its own, never changes a bill, and never lowers the risk because someone was asked — only a change in the record does that. It does not guess an insurer’s rules it has not been told.

What happens to our data if we uninstall ClaimScrub?

Checks stop. Tasks it created, codes added and the stored checks stay where they are.

Is ClaimScrub available today?

Yes — ClaimScrub is live in clinics today. Set up your practice on MedAppz and install it from your dashboard.

Want to see ClaimScrub running on your own patients?

Tell us what you run and we will show you this app inside a practice shaped like yours — or answer the question the page above did not.

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